The main areas of concern should be determined and prioritised by the patient at the time of consultation. It is recommended that the patient view these areas using a handheld mirror, so that the provider and patient may simultaneously examine the desired treatment areas.
Asymmetries, such as uneven eyebrow height, are pointed out to the patient, noted in the chart, and photographed.
Pigmented lesions in the treatment area are evaluated and lesions suspected of melanoma biopsied with results reviewed prior to proceeding with treatments.
Early in the consultation process, providers should assess whether patients will benefit most from surgical intervention, or if minimally invasive treatments will address their concerns adequately particularly for patients presenting with severe wrinkles and excessive skin laxity. Treatment options and recommendations should be discussed along with anticipated results, risks of side effects and complications, recovery time, and costs. Based on this discussion, an individualised aesthetic rejuvenation treatment plan is created.
Baseline assessments of the patient’s skin type and severity of photoageing are typically performed at the time of consultation using the Glogau classification of photoageing and Fitzpatrick skin type classification, respectively.